Focused questions Flashcards

1
Q

Theft of personal property can only be included by…

A

Endorsement

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2
Q

The limit for medical coverage on a personal auto policy is not more than $____ per person, per accident.

A

$5,000

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3
Q

This is a method of casualty claim settlement used when the insured and insurer cannot agree on how to settle a claim.

A

Arbitration

Appraisal is the AMOUNT of the claim, Arbitration is HOW to settle a claim

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4
Q

The policy provision found in property insurance policies that prevents the insured from collecting twice for the same loss is called

A

Subrogation

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5
Q

Under the personal auto policy, liability for bodily injury resulting from the insured’s use of a nonowned automobile is

A

Provided by the insured’s policy on an excess basis.

Automobile insurance follows the insured auto, so the coverage written on the auto is primary. Automobile insurance also follows the insured as excess over other collectible insurance.

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6
Q

When an insured makes truthful statements on the application for insurance and pays the required premium, it is known as?

A

Consideration
Consideration is something of value that each party gives to the other. The consideration on the part of the insured is the payment of premium and the representations made in the application.

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7
Q

Rental Reimbursement is only available if the personal auto policy includes which coverage?

A

Other Than Collision Coverage
This endorsement is only available if the policy includes other than collision coverage. This endorsement will reimburse the insured for rental charges incurred because the covered auto is out of use because of a covered loss.

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8
Q

Property insurance that provides $100,000 coverage for a building and $50,000 coverage for personal property at a single location is called

Note: You got this specific one wrong on both attempts

A

Specific coverage

One location is insured for a specific amount of insurance on the structure and contents.

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9
Q

The Gramm-Leach-Bliley Act was passed to

Note: This one was wrong for both attempts also

A

Protect private customer information filed with a financial institution

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10
Q

The part of the insurance contract that describes the covered perils and the nature of coverage of the contractual agreement between the insurer and the insured is called the

A

Insuring agreement.
The insuring agreement is the part of the policy structure that describes the insured perils and the method of indemnification.

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11
Q

A property insurance policy that is not subject to any coinsurance requirements but has a set amount of insurance scheduled for the property would use what loss valuation method?

A

Stated amount
A stated amount is an amount of insurance scheduled in a property policy which is not subject to any coinsurance requirements in the event of a covered loss.

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12
Q

Earthquake coverage is commonly provided through a federally-funded program, true or false?

A

True
It is a peril excluded by most standard property forms. Coverage for the peril of earthquake may be added by endorsement to most property policies, or coverage may be written in a Difference in Conditions policy.

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13
Q

The process of determining the premium charged and how much insurance is required for a particular loss is called

A

Loss valuation
Loss valuation is the process of determining appropriate monetary value to a particular loss and its resulting repair or replacement.

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14
Q

Personal umbrella liability provides errors and omissions coverage for an agency, true or false?

A

False
Personal umbrella policies cover the personal exposure of the insured. Errors and omissions coverage is provided only in a professional liability policy.

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15
Q

In a personal auto policy, the medical payments coverage is similar to

A

Accident insurance, because it pays medical expenses regardless of fault.

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16
Q

The limit on silverware on broad theft coverage is $____

A

$2,500

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17
Q

This type of liability is imposed on defendants engaged in hazardous activities.

A

Strict liability

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18
Q

A vehicle fleeing a hit-and-run accident is…

A

An uninsured vehicle

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19
Q

Replacement cost is defined as

A

Full replacement of property at its current cost, new and without reduction for depreciation.

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20
Q

Which of the following homeowners policies covers those who rent their dwelling?

A

HO-4

The personal property of a tenant is covered by the HO-4 policy.

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21
Q

The insured damages a rented garage when he failed to stop in time, how would it be covered under a personal auto policy?

A

Property Damage Liability

22
Q

Which entity has the authority to grant a temporary life insurance agent’s license?

A

The Commissioner of Insurance only

23
Q

A participating insurer may pay dividends to the policyowner, true or false?

A

True
A participating insurance policy will pay dividends to the owner based upon actual mortality cost, interest earned and costs.

24
Q

In Texas, unless higher optional limits are purchased, the maximum amount payable for all auto personal injury protection benefits arising out of a single accident shall not exceed $____

A

$2,500

25
Q

Is attempting to settle a claim in which liability is clear an unfair or deceptive act? True or false.

A

False.

26
Q

An insurer devises an intimidation strategy in order to corner a large portion of the insurance market. What is this practice called?

A

Unfair Discrimination
It is illegal to participate in any boycott, coercion, or intimidation that is intended to restrict fair trade or create a monopoly

27
Q

An insurer must acknowledge receipt of a Notice of Claim within how many days?

A

15
Under state Claims Methods and Practices laws, every insurer, upon receiving a notification of a claim must acknowledge its receipt and begin an investigation within 15 working days.

28
Q

A recent college graduate bought a new car and is trying to get automobile insurance on it as required by the lienholder. After being rejected by several insurance companies due to his driving record, he finally talked to an agent who can get him coverage. His agent called him a residual market risk. From which type of automobile insurance plan can the applicant purchase insurance?

A

Assigned risk

29
Q

All property losses under the basic form are settled on a replacement cost basis. True or False

A

True

30
Q

What does the term proximate cause refer to?

A

Negligence that leads to an injury

31
Q

Is a coin collection valued at $500 lost in a fire covered by a homeowners policy?

A

No.
An HO policy will pay up to $2,500 for silverware by theft, $1,500 for boats, motors, trailers, $1,500 for loss of trailers not used with boats, but no more than $200 for coins.

32
Q

The Federal Fair Credit Reporting Act

A

Regulates consumer reports

33
Q

An insured has $5,000 of medical coverage on a personal auto policy at the time of a covered accident. The insured and two passengers are injured. Medical treatment costs $7,000 for the insured, $4,000 for the first passenger, and $8,000 for the second passenger. How much will the policy pay under medical payments coverage?

A

$14,000

The limit is not more than $5,000 per person, per accident.

34
Q

When must Insurable interest in a property policy be proven

A

At the time of loss.
Between the time a policy is issued and when a loss occurs, ownership may have changed, mortgages may have been put into place, etc. Therefore, in property and casualty insurance, insurable interest must exist at the time of loss.

35
Q

Under the professional liability loss settlement provision, what must an insurer do before offering to pay a claimant to settle a claim?

A

Get the insured’s consent
If a claim has been filed under a professional liability policy, an insurer MUST get the consent of the insured before offering to pay to settle a claim. If the insured’s professional reputation is at risk, and the insured feels he or she is not negligent, the insured can require the insurer to defend the action in court.

36
Q

What type of compensatory damages will pay for pain and suffering and disfigurement?

A

General

General compensatory damages are for intangible elements that cannot be specifically measured in terms of dollars.

37
Q

An insured is driving her car through a residential area when she loses control and crashes into a neighbor’s front porch. The neighbor, who was sitting on the porch, is injured. The insured’s liability policy has a limit of $500,000. This amount applies to the total of damages for any bodily injury and property damage resulting from one accident. Which type of limit of liability does the insured have

A

Combined single
Combined single is a single dollar limit of liability applying to the total of damages for bodily injury and property damage combined resulting from one accident or occurrence.

38
Q

Which of the following is a common exclusion found in Part D: Coverage for Damage to Your Auto of a PAP?

A

Mechanical breakdown
Damage due to wear and tear, freezing, mechanical or electrical breakdown, and road damage to tires is a common exclusion to the physical damage coverage section.

39
Q

Are conditions part of the policy structure or an element of the contract?

A

Conditions are part of the policy structure

40
Q

An insured’s roof cost $4,000 when installed 5 years ago. It has been damaged by hail and must be replaced. The new roof will cost $6,000 at today’s prices. If the roof has been depreciating at $200 per year and the insured’s policy is written on the actual cash value(ACV), how much will the policy pay toward the insured’s new roof?

A

$5,000

ACV is calculated as replacement cost less depreciation.

41
Q

What is the deductible of a personal liability umbrella policy called?

A

The self-insured retention (SIR) is an initial part of a loss the insured pays before the umbrella pays if no other policy covers the loss.

42
Q

An agent holds an insurance license in the state of Kansas and would like to transact insurance in Texas. The agent became licensed before written examinations were required. Therefore, the agent has not actually passed any kind of examination. Does a written examination needed?

A

If a currently-licensed, foreign agent obtained an insurance license before written examinations were required, and if the agent seeks to transact insurance in Texas, the written examination requirement will be waived.

43
Q

An insurer devises an intimidation strategy in order to corner a large portion of the insurance market. Which of the following best describes this practice?

A

Illegal
It is illegal to participate in any boycott, coercion, or intimidation that is intended to restrict fair trade or create a monopoly.

44
Q

Are all property losses under the basic form are settled on a replacement cost basis?

A

Yes, all property losses under the basic form are settled on an actual cash value (ACV) basis.

45
Q

What must an insurer obtain in order to transact insurance within a given state?

A
Certificate of authority
All insurers (domestic, foreign, or alien) must obtain a certificate of authority before transacting insurance within a given state.
46
Q

Is the State Property and Casualty Guaranty Association a residual market?

A

No.
FAIR plans, assigned risk plans, and a joint underwriting association are all considered residual markets. The state Guaranty Association is a mechanism for assisting the policyholders of bankrupt insurers and would not be called a residual market.

47
Q

Who are members of the Texas Windstorm Insurance Association?

A

All authorized property insurers

The association is made up of all property insurers authorized to transact property insurance in the state.

48
Q

Is breaking of glass included in basic form (DP-1) dwelling?

A

No, it is included in DP-2 and DP-3 only

49
Q

Are visiting relatives considered INSUREDS under the liability section of a homeowners policy?

A

No. Relatives of the insured of any age are considered insureds only if they are residents of the household.

50
Q

Is the coinsurance formula applied to total losses?

A

No. In the event of a total loss, the coinsurance clause does not operate and the face amount of the policy is paid.

51
Q

When an individual obtains an insurance license for the primary purpose of writing insurance on him- or herself, or for members of his or her immediate family, or business, this is called

A

Controlled business
When producers sell policies on themselves, their family, or their coworkers, this is called “controlled business.” In this state, at least 25% of a licensee’s total volume of premiums in a calendar year must be from business other than controlled business.